| NPI | 1134697790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-18-31589) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 180064) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2024-10-29 |